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Published on: December 5, 2025
Lower lip reconstruction with neck flaps as a salvage procedure
Serkan Yildirim1, Mustafa Karaca, Ilker Mehmet Bilgiç
1Dr Lutfi Kirdar Kartal Education and Research Hospital, Plastic, Reconstructive and Aesthetic Surgery Clinic, Istanbul, Turkey.
The Journal of Craniofacial Surgery
|May 21, 2010
Summary
This study presents a neck skin flap technique for total lower lip reconstruction. It offers a viable, quicker alternative when free flaps are not feasible, achieving satisfactory cosmetic results.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Oncologic Surgery
Background:
- Lower lip defects often necessitate complex reconstructive techniques.
- Free flaps are common, but local flaps are sometimes required due to patient or vessel issues.
- Neck skin flaps offer a potential alternative for lower lip reconstruction.
Observation:
- A novel technique for total lower lip reconstruction using neck skin was described.
- The technique was successfully applied in two patient cases.
- A 2-year follow-up revealed no surgical complications and high patient satisfaction.
Findings:
- Neck skin flaps provide an effective method for total lower lip reconstruction.
- This technique yielded acceptable cosmetic outcomes.
- The procedure was well-tolerated with no early or late complications.
Implications:
- Neck skin flaps should be considered a valuable, quicker alternative for lower lip reconstruction.
- This method serves as a crucial salvage option when free flaps are contraindicated.
- The technique expands reconstructive possibilities for complex lower lip defects.